Wide -Awake Local Anesthesia No Tourniquet (WALANT) Procedure for Primary Repair of Traumatic Rupture of Flexor Tendon of the Hand: A Single Center Experience

Reconstruction of flexor tendons the hand injuries is performed under general or regional anesthesia and tourniquet, in general. During Covid-19 pandemic period insufficiency anesthesiologists created need to find alternative methods with similar results existing ones. Wide awake, local anaesthetic, no-tourniquet technique (WALANT) started be more popular, based on advantages (low cost, no access anaesthetic support, intraoperative collaboration control active motion tendon reparation) gradually appeared a safe technique. Combination lidocaine adrenaline allows ensure at same time vasoconstriction. The aim this study estimate evidence effectiveness secure WALANT case series from our reconstruction unit according patient’s satisfaction, complications, functional outcomes. Material & Method: April 2021 September 2022, 34 patients traumatic lesion were treated tenorrhaphy procedure. zone injury was I,II,III, T1,T2,T3. All operated within 24 hours able discharged day. majority operations second operative theatre all without support. Results: Overall, Visual Analogue Scores 0/10, mean rate satisfaction very satisfied 82.3%, while Quick DASH score 1.38. There cases peri-postoperative complication during In there administrate phentolamine as antidote vasoconstriction other procedure anesthesia. Conclusions: method which you can pain blood loss combination adrenaline. absence tourniquet avoid intra- postoperative discomfort patient, patient offers immediate restoration complications tenorrhaphy. Furthermore, patients̓ continues exist high nonentity.